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Section 5 - Safety, Standards, and Information Technology

Published online by Cambridge University Press:  16 November 2018

Alan David Kaye
Louisiana State University
Richard D. Urman
Harvard Medical School
Charles J. Fox, III
Louisiana State University, Shreveport
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Publisher: Cambridge University Press
Print publication year: 2018

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Joint Commission Resources Inc. Comprehensive accreditation manual for hospitals. Scholar
State Operations Manual (SOM) Appendix A. Revision 151, November 20, 2015.Google Scholar
2016 Joint Commission and CMS Crosswalk, Comparing hospital standards and CoPs. jointcommissioninternational.orgGoogle Scholar
American Society of Anesthesiologists. Ethical guidelines for the anesthesia care of patients with do-not-resuscitate orders or other directives that limit treatment. October 16, 2013.Google Scholar
American Society of Anesthesiologists. Statement on documentation of anesthesia care. October 28, 2015.Google Scholar
Institute for Safe Medication Practices. ISPM list of high alert medication in acute care settings. ispm.orgGoogle Scholar
American Society of Anesthesiologists. Statement on creating labels of pharmaceuticals for use in anesthesiology. October 28, 2105.Google Scholar
American Society of Anesthesiologists. Statement on security of medications in the operating room. October 16, 2106.Google Scholar
Center for Disease Control and Prevention. Guidelines for isolation precaution: Preventing transmission of infectious agents in health care setting. 2007.Google Scholar
Center for Disease Control and Prevention. Guidelines for environmental infection control in health-care facilities. June 6, 2003/52(RR10), 1–42.Google Scholar
Occupational Safety and Health Administration. OSHA technical manual, Section VI, Scholar
American Society of Anesthesiologists. Recommendations for infection control for the practice of anesthesiology, 3rd ed. 2011.Google Scholar
Association of periOperative Registered Nurses, Inc. Guidelines for perioperative practice. 2016 edition.Google Scholar
American Society of Anesthesiologists. Practice guidelines for moderate procedural sedation and analgesia 2018: A Report by the American Society of Anesthesiologists Task Force on Moderate Procedural Sedation and Analgesia, the American Association of Oral and Maxillofacial Surgeons, American College of Radiology, American Dental Association, American Society of Dentist Anesthesiologists, and Society of Interventional Radiology. Anesthesiology 2018 Mar;128(3):437–479.CrossRefGoogle Scholar
American Society of Anesthesiologists. (2017). Advisory on granting privileges for deep sedation to non-anesthesiologist sedation practitioners. Available at: (accessed August 20, 2018).Google Scholar
American Society of Anesthesiologists. (2017). Statement on granting privileges to non-anesthesiologist practioners for personally administering deep sedation or supervising deep sedation by individuals who are not anesthesia professionals. Available at: (accessed August 20, 2018).Google Scholar
American Society of Anesthesiologists. (2014). Continuum of depth of sedation: Definition of general anesthesia and levels of sedation/analgesia Available at: (accessed August 20, 2018).Google Scholar
American Society of Anesthesiologists. Standards for basic anesthetic monitoring (2014). Available at: (accessed August 20, 2018).Google Scholar
Aldrete, J. A.. The post-anesthesia recovery score revisited. J Clin Anesth 1995; 7: 8991.CrossRefGoogle ScholarPubMed
Antonelli, M. T., Seaver, D. E.. Quality, legal, and risk management considerations: Chapter 7. Ensuring program excellence. In: Urman, R., Kaye, A. D.. Moderate and Deep Sedation in Clinical Practice, 2nd edn. Cambridge University Press, 2017.Google Scholar
The Joint Commission. Standards Interpretation. Available at: (accessed August 20, 2018).Google Scholar
Metzner, J., Posner, K. L., Domino, K. B.. The risk and safety of anesthesia at remote locations: The US closed claims analysis. Curr Opin Anaesthesiol 2009; 22: 502–8.CrossRefGoogle ScholarPubMed
Bhananker, S. M., Posner, K. L., Cheney, F. W., et al. Injury and liability associated with monitored anesthesia care: A closed claims analysis. Anesthesiology 2006; 104: 228–34.CrossRefGoogle ScholarPubMed
American Society of Anesthesiologists. (2014). Statement on safe use of propofol. Available at: (accessed August 20, 2018).Google Scholar
Bui, A. H., Urman, R. D.. Clinical and safety considerations for moderate and deep sedation. J Med Pract Manage 2013;29(1):3541.Google ScholarPubMed
Antonelli, M. T., Seaver, D., Urman, R. D.. Procedural sedation and implications for quality and risk management. J Healthc Risk Manag 2013;33(2):310.CrossRefGoogle ScholarPubMed
Pisansky, A. J., Beutler, S. S., Urman, R. D.. Education and training for nonanesthesia providers performing deep sedation. Curr Opin Anaesthesiol 2016.CrossRefGoogle ScholarPubMed
Caperelli-White, L., Urman, R. D.. Developing a moderate sedation policy: Essential elements and evidence-based considerations. AORN J 2014;99(3):416–30.CrossRefGoogle ScholarPubMed
Schilling, D., Rosenbaum, A., Schweizer, S., et al. Sedation with propofol for interventional endoscopy by trained nurses in high-risk octogenarians: A prospective, randomized, controlled study. Endoscopy 2009;41:295–8.CrossRefGoogle ScholarPubMed
McQuaid, K. R., Laine, L.. A systematic review and meta-analysis of randomized, controlled trials of moderate sedation for routine endoscopic procedures. Gastrointest Endosc 2008;67:910–23.CrossRefGoogle ScholarPubMed
Jones, M. R., Karamnov, S., Urman, R. D.. Characteristics of reported adverse events during moderate procedural sedation: An update. Jt Comm J Qual Patient Saf 2018 Jul 27.Google ScholarPubMed
American Patient Safety Foundation Newsletter 2001; 16: 49.Google Scholar
Epstein, R. H., Vigoda, M. M., Feinstein, D. M.. Anesthesia information management systems: A survey of current implementation policies and practices. Anesth Analg 2007; 105: 405–11.CrossRefGoogle ScholarPubMed
Trentman, T. L., Mueller, J. T., Ruskin, K. J., Noble, B. N., Doyle, C. A.. Adoption of anesthesia information management systems by US anesthesiologists. J Clin Monit Comput 2011; 25: 129–35.CrossRefGoogle ScholarPubMed
Smallman, B., Dexter, F.. Optimizing the arrival, waiting, and NPO times of children on the day of pediatric endoscopy procedures. Anesth Analg 2010; 110: 879–87.CrossRefGoogle ScholarPubMed
Wax, D. B., Beilin, Y., Levin, M., Chadha, N., Krol, M., Reich, D. L.. The effect of an interactive visual reminder in an anesthesia information management system on timeliness of prophylactic antibiotic administration. Anesth Analg 2007; 104: 1462–6, table of contents.CrossRefGoogle Scholar
Braxton, C. C., Gerstenberger, P. A., Cox, G. G.. Improving antibiotic stewardship: Order set implementation to improve prophylactic antimicrobial prescribing in the outpatient surgical setting. J Ambul Care Manage 2010; 33: 131–40.CrossRefGoogle ScholarPubMed
Rothman, B., Sandberg, W. S., St Jacques, P.. Using information technology to improve quality in the OR. Anesthesiol Clin 2011; 29: 2955.CrossRefGoogle ScholarPubMed
Stulberg, J. J., Delaney, C. P., Neuhauser, D. V., Aron, D. C., Fu, P., Koroukian, S. M.. Adherence to surgical care improvement project measures and the association with postoperative infections. JAMA 2010; 303: 2479–85.CrossRefGoogle ScholarPubMed
Ehrenfeld, J. M., Epstein, R. H., Bader, S., Kheterpal, S., Sandberg, W. S.. Automatic notifications mediated by anesthesia information management systems reduce the frequency of prolonged gaps in blood pressure documentation. Anesth Analg 2011; 113: 356–63.CrossRefGoogle ScholarPubMed
Balust, J., Macario, A.. Can anesthesia information management systems improve quality in the surgical suite? Curr Opin Anaesthesiol 2009; 22: 215–22.CrossRefGoogle ScholarPubMed
Suzuki, T., Sakurai, Y., Yoshimitsu, K., Nambu, K., Muragaki, Y., Iseki, H.. Intraoperative multichannel audio-visual information recording and automatic surgical phase and incident detection. Conf Proc IEEE Eng Med Biol Soc 2010; 2010: 1190–3.Google ScholarPubMed
Spring, S. F., Sandberg, W. S., Anupama, S., Walsh, J. L., Driscoll, W. D., Raines, D. E.. Automated documentation error detection and notification improves anesthesia billing performance. Anesthesiology 2007; 106: 157–63.CrossRefGoogle ScholarPubMed
Ehrenfeld, J. M., Rehman, M. A.. Anesthesia information management systems: A review of functionality and installation considerations. J Clin Monit Comput 2011; 25: 71–9.CrossRefGoogle ScholarPubMed
Sandberg, W. S.. Anesthesia information management systems: Almost there. Anesth Analg 2008; 107: 1100–2.CrossRefGoogle Scholar
Slagle, J. M., Weinger, M. B.. Effects of intraoperative reading on vigilance and workload during anesthesia care in an academic medical center. Anesthesiology 2009; 110: 275–83.Google Scholar
Kluger, M. T., Bullock, M. F.. Recovery room incidents: A review of 419 reports from the Anaesthetic Incident Monitoring Study (AIMS). Anaesthesia 2002; 57: 1060–6.CrossRefGoogle Scholar
Sandberg, W. S., Sandberg, E. H., Seim, A. R., et al. Real-time checking of electronic anesthesia records for documentation errors and automatically text messaging clinicians improves quality of documentation. Anesth Analg 2008; 106: 192201, table of contents.CrossRefGoogle ScholarPubMed
Poon, E. G., Kuperman, G. J., Fiskio, J., Bates, D. W.. Real-time notification of laboratory data requested by users through alphanumeric pagers. J Am Med Inform Assoc 2002; 9: 217–22.CrossRefGoogle ScholarPubMed
Epstein, R. H., Ekbatani, A., Kaplan, J., Shechter, R., Grunwald, Z.. Development of a staff recall system for mass casualty incidents using cell phone text messaging. Anesth Analg 2010; 110: 871–8.CrossRefGoogle ScholarPubMed
St Jacques, P., Rothman, B.. Enhancing point of care vigilance using computers. Anesthesiol Clin 2011; 29: 505–19.CrossRefGoogle ScholarPubMed
Evaluation of the System for Teamwork Effectiveness and Patient Safety (STEPS), Chauvin, S. W., Principal Investigator. (2006). Agency for Healthcare Research and Quality, Grant # U18 HS016680-01.Google Scholar
Gaba, D, McIntosh, C (2006). Simulation: What does it really cost? International Meeting for Society in Simulation in Healthcare.CrossRefGoogle Scholar
Kozmenko, V, Lubbers, L, Messier, S (2017). Clinical skills validation through simulation to improve patient safety, International Congress of Health Workforce Education and Research, Porto, Portugal.Google Scholar
Vig, S, Boggs, S, Kaye, A, Tsai, M, Urman, R. Creating a standardized operating room management curriculum for anesthesia trainees. Journal of Medical Practice Management. 2016.Google ScholarPubMed
Zambouri, A. Preoperative evaluation and preparation for anesthesia and surgery. Hippokratia. 2007;11(1):1321.Google ScholarPubMed
Carroll, C, Juers, M, Kent, S. Improving the scheduling of operating rooms at UMass Memorial Medical Center. Worcester Polytechnic Institute, 2014. Scholar
Boggs, S, Frost, E, Feinleib, J. Anesthesiologists as operating room directors: Results of a survey. International Journal of Anesthetics and Anesthesiology. 2016;3(1).CrossRefGoogle Scholar
Vaidya, A. Frenetic consolidation: The anesthesia market today & where ASCs fit in. February 5, 2016. Scholar
Girotto, JA, Koltz, PF, Drugas, G. Optimizing your operating room: Or, why large, traditional hospitals don’t work. International Journal of Surgery. 2010;8(5):359–67.CrossRefGoogle Scholar
Vetter, TR, Goeddel, LA, Boudreaux, AM, Hunt, TR, Jones, KA, Pittet, J-F. The perioperative surgical home: How can it make the case so everyone wins? BMC Anesthesiology. 2013;13(1).CrossRefGoogle Scholar
Dexter, F, Wachtel, RE. Strategies for net cost reductions with the expanded role and expertise of anesthesiologists in the perioperative surgical home. Anesthesia & Analgesia. 2014;118(5):1062–71.CrossRefGoogle ScholarPubMed
Plasters, CL, Seagull, FJ, Xiao, Y. Coordination challenges in operating-room management: An in-depth field study. AMIA Annual Symposium Proceedings. 2003;2003:524–8.Google Scholar
Gamble, M. Six cornerstones of operating room efficiency: Best practices for each. January 18, 2013. Scholar
Bragg, S. Budgeting: The comprehensive guide. 3rd ed. Accounting Tools, 2014.Google Scholar
Fletcher, G, Flin, R, McGeorge, P, Glavin, R, Maran, N, Patty, R. Anaesthetists’ non-technical skills (ANTS): Evaluation of a behavioural marker system dagger. British Journal of Anaesthesia. 2003;90(5):580–8.Google Scholar
Yee, B, Naik, VN, Joo, HS, et al. Nontechnical skills in anesthesia crisis management with repeated exposure to simulation-based education. Anesthesiology. 2005;103(2):241–8.CrossRefGoogle ScholarPubMed
Cole, DC, Giordano, CR, Vasilopoulos, T, Fahy, BG. Resident physicians improve nontechnical skills when on operating room management and leadership rotation. Anesth Analg. 2017 Jan;124(1):300–7.CrossRefGoogle ScholarPubMed
Wachtel, RE, Dexter, F. Curriculum providing cognitive knowledge and problem-solving skills for anesthesia systems-based practice. Journal of Graduate Medical Education. 2010;2(4):624–32.CrossRefGoogle ScholarPubMed
Swing, SR, Clyman, SG, Holmboe, ES, Williams, RG. Advancing resident assessment in graduate medical education. Journal of Graduate Medical Education. 2009;1(2):278–86.CrossRefGoogle ScholarPubMed
Smith, DT, Kohlwes, RJ. Teaching strategies used by internal medicine residents on the wards. Medical Teacher. 2011;33(12):e697e703.CrossRefGoogle ScholarPubMed
Marjamaa, R, Vakkuri, A, Kirvelä, O. Operating room management: Why, how and by whom? Acta Anaesthesiologica Scandinavica. 2008;52(5):596600.CrossRefGoogle ScholarPubMed
Gabriel, RA, Gimlich, R, Ehrenfeld, JM, Urman, RD. Operating room metrics score card – Creating a prototype for individualized feedback. Journal of Medical Systems. 2014;38(11):144.CrossRefGoogle ScholarPubMed
Kodali, BS, Kim, KD, Flanagan, H, Ehrenfeld, JM, Urman, RD. Variability of subspecialty-specific anesthesia-controlled times at two academic institutions. Journal of Medical Systems. 2014;38(2):11.CrossRefGoogle ScholarPubMed
Kodali, BS, Kim, D, Bleday, R, Flanagan, H, Urman, RD. Successful strategies for the reduction of operating room turnover times in a tertiary care academic medical center. Journal of Surgical Research. 2014;187(2):403–11.CrossRefGoogle Scholar
Malapero, RJ, Gabriel, RA, Gimlich, R, et al. An anesthesia medication cost scorecard – Concepts for individualized feedback. Journal of Medical Systems. 2015;39(5):48.CrossRefGoogle ScholarPubMed
Peccora, CD, Gimlich, R, Cornell, RP, Vacanti, CA, Ehrenfeld, JM, Urman, RD. Anesthesia report card – A customizable tool for performance improvement. Journal of Medical Systems. 2014;38(9):105.CrossRefGoogle Scholar
Stone, AB, Grant, MC, Pio Roda, C, et al. Implementation costs of an enhanced recovery after surgery program in the United States: A financial model and sensitivity analysis based on experiences at a quaternary academic medical center. J Am Coll Surg 2016; 222: 219–25.CrossRefGoogle Scholar
Ljungqvist, O, Scott, M, Fearon, KC. Enhanced Recovery After Surgery: A review. JAMA Surg 2017; 152: 292–8.CrossRefGoogle ScholarPubMed
King, AB, Alvis, BD, McEvoy, MD. Enhanced Recovery After Surgery, perioperative medicine, and the perioperative surgical home: Current state and future implications for education and training. Curr Opin Anaesthesiol 2016; 29: 727–32.CrossRefGoogle ScholarPubMed
King, AB, Geiger, T, Tiwari, V, Sandberg, WS, McEvoy, MD. Effect of ongoing process improvement on an Enhanced Recovery After Surgery pathway for colorectal surgery patients. San Diego, CA: American Society of Anesthesiologists, 2015.Google Scholar
McEvoy, MD, Wanderer, JP, King, AB, et al. A perioperative consult service results in reduction in cost and length of stay for colorectal surgical patients: Evidence from a healthcare redesign project. Perioper Med 2016; 5: 3.CrossRefGoogle ScholarPubMed
Vanounou, T, Pratt, W, Fischer, JE, Vollmer, CM, Jr., Callery, MP. Deviation-based cost modeling: A novel model to evaluate the clinical and economic impact of clinical pathways. J Am Coll Surg 2007; 204: 570–9.CrossRefGoogle ScholarPubMed
Tang, J, Humes, DJ, Gemmil, E, Welch, NT, Parsons, SL, Catton, JA. Reduction in length of stay for patients undergoing oesophageal and gastric resections with implementation of enhanced recovery packages. Ann R Coll Surg Engl 2013; 95: 323–8.CrossRefGoogle ScholarPubMed
Reismann, M, Dingemann, J, Wolters, M, Laupichler, B, Suempelmann, R, Ure, BM. Fast-track concepts in routine pediatric surgery: A prospective study in 436 infants and children. Langenbecks Arch Surg 2009; 394: 529–33.CrossRefGoogle ScholarPubMed
Porter, GA, Pisters, PW, Mansyur, C, et al. Cost and utilization impact of a clinical pathway for patients undergoing pancreaticoduodenectomy. Ann Surg Oncol 2000; 7: 484–9.CrossRefGoogle ScholarPubMed
Khreiss, W, Huebner, M, Cima, RR, et al. Improving conventional recovery with enhanced recovery in minimally invasive surgery for rectal cancer. Dis Colon Rectum 2014; 57: 557–63.CrossRefGoogle ScholarPubMed
Kennedy, EP, Rosato, EL, Sauter, PK, et al. Initiation of a critical pathway for pancreaticoduodenectomy at an academic institution: The first step in multidisciplinary team building. J Am Coll Surg 2007; 204: 917–23; discussion 23–4.CrossRefGoogle ScholarPubMed
Kennedy, EP, Grenda, TR, Sauter, PK, et al. Implementation of a critical pathway for distal pancreatectomy at an academic institution. J Gastrointest Surg 2009; 13: 938–44.CrossRefGoogle ScholarPubMed
Kalogera, E, Bakkum-Gamez, JN, Jankowski, CJ, et al. Enhanced recovery in gynecologic surgery. Obstet Gynecol 2013; 122: 319–28.CrossRefGoogle ScholarPubMed
di Sebastiano, P, Festa, L, De Bonis, A, et al. A modified fast-track program for pancreatic surgery: A prospective single-center experience. Langenbecks Arch Surg 2011; 396: 345–51.CrossRefGoogle ScholarPubMed
Daneshmand, S, Ahmadi, H, Schuckman, AK, et al. Enhanced recovery protocol after radical cystectomy for bladder cancer. J Urol 2014; 192: 50–5.CrossRefGoogle ScholarPubMed
Connor, S, Cross, A, Sakowska, M, Linscott, D, Woods, J. Effects of introducing an Enhanced Recovery After Surgery programme for patients undergoing open hepatic resection. HPB (Oxford) 2013; 15: 294301.CrossRefGoogle ScholarPubMed
Blom, RL, van Heijl, M, Bemelman, WA, et al. Initial experiences of an enhanced recovery protocol in esophageal surgery. World J Surg 2013; 37: 2372–8.CrossRefGoogle ScholarPubMed
Balzano, G, Zerbi, A, Braga, M, Rocchetti, S, Beneduce, AA, Di Carlo, V. Fast-track recovery programme after pancreatico-duodenectomy reduces delayed gastric emptying. Br J Surg 2008; 95: 1387–93.CrossRefGoogle ScholarPubMed
Sarin, ALE, Naidu, R, Yost, CS, Varma, MG, Chen, LL. Successful implementation of an Enhanced Recovery After Surgery program shortens length of stay and improves postoperative pain, and bowel and bladder function after colorectal surgery. BMC Anesthesiology 2016; 16: 55CrossRefGoogle ScholarPubMed
Miller, TE, Thacker, JK, White, WD, et al. Reduced length of hospital stay in colorectal surgery after implementation of an enhanced recovery protocol. Anesth Analg 2014; 118: 1052–61.CrossRefGoogle ScholarPubMed
Day, RW, Cleeland, CS, Wang, XS, et al. Patient-reported outcomes accurately measure the value of an enhanced recovery program in liver surgery. J Am Coll Surgeons 2015; 221: 1023.CrossRefGoogle ScholarPubMed
Gustafsson, UO, Hausel, J, Thorell, A, et al. Adherence to the Enhanced Recovery After Surgery protocol and outcomes after colorectal cancer surgery. Arch Surg 2011; 146: 571–7.CrossRefGoogle ScholarPubMed
Group EC. The impact of enhanced recovery protocol compliance on elective colorectal cancer resection: Results from international registry. Ann Surg 2015; 261: 1153–9.Google Scholar
Gustafsson, UO, Oppelstrup, H, Thorell, A, Nygren, J, Ljungqvist, O. Adherence to the ERAS protocol is associated with 5-year survival after colorectal cancer surgery: A retrospective cohort study. World J Surg 2016; 40: 1741–7.CrossRefGoogle ScholarPubMed
Nelson, G, Kiyang, LN, Crumley, ET, et al. Implementation of Enhanced Recovery After Surgery (ERAS) across a provincial healthcare system: The ERAS Alberta colorectal surgery experience. World J Surg 2016; 40: 1092–103.CrossRefGoogle ScholarPubMed
Thiele, RH, Rea, KM, Turrentine, FE, et al. Standardization of care: Impact of an enhanced recovery protocol on length of stay, complications, and direct costs after colorectal surgery. J Am Coll Surgeons 2015; 220: 986.CrossRefGoogle ScholarPubMed
Savaridas, T, Serrano-Pedraza, I, Khan, SK, Martin, K, Malviya, A, Reed, MR. Reduced medium-term mortality following primary total hip and knee arthroplasty with an enhanced recovery program. A study of 4,500 consecutive procedures. Acta Orthop 2013; 84: 40–3.CrossRefGoogle Scholar
Kehlet, H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth 1997; 78: 606–17.CrossRefGoogle ScholarPubMed
Thiele, RH, Rea, KM, Turrentine, FE, et al. Standardization of care: Impact of an enhanced recovery protocol on length of stay, complications, and direct costs after colorectal surgery. J Am Coll Surgeons 2015; 220: 430–43.CrossRefGoogle ScholarPubMed
Berwick, DM, Nolan, TW, Whittington, J. The triple aim: Care, health, and cost. Health Aff (Millwood) 2008; 27: 759–69.CrossRefGoogle Scholar
Nygren, J, Thacker, J, Carli, F, et al. Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (ERAS(R)) Society recommendations. Clin Nutr 2012; 31: 801–16.CrossRefGoogle ScholarPubMed
Amer, MA, Smith, MD, Herbison, GP, Plank, LD, McCall, JL. Network meta-analysis of the effect of preoperative carbohydrate loading on recovery after elective surgery. Br J Surg 2017; 104: 187–97.CrossRefGoogle ScholarPubMed
Anesthesiologists tASo. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: Application to healthy patients undergoing elective procedures. Anesthesiology 2011; 114: 495511.CrossRefGoogle Scholar
Shoemaker, WC, Appel, PL, Kram, HB, Waxman, K, Lee, TS. Prospective trial of supranormal values of survivors as therapeutic goals in high-risk surgical patients. Chest 1988; 94: 1176–86.CrossRefGoogle ScholarPubMed
Lassen, K, Soop, M, Nygren, J, et al. Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations. Arch Surg-Chicago 2009; 144: 961–9.CrossRefGoogle ScholarPubMed
Melloul, E, Jubner, M, Scott, M, et al. Guidelines for perioperative care for liver surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations. World J Surg 2016; 40: 2065.CrossRefGoogle ScholarPubMed
Dort, JC, Farwell, DG, Findlay, M, et al. Optimal perioperative care in major head and neck cancer surgery with free flap reconstruction: A consensus review and recommendations from the Enhanced Recovery After Surgery Society. JAMA Otolaryngol Head Neck Surg 2017; 143: 292303.CrossRefGoogle ScholarPubMed
Fearon, KCH, Ljungqvist, O, Von Meyenfeldt, M, et al. Enhanced Recovery After Surgery: A consensus review of clinical care for patients undergoing colonic resection. Clin Nutr 2005; 24: 466–77.CrossRefGoogle ScholarPubMed
Kolarczyk, LM, Hance, LM, Bednar, P, Kim, HJ, Isaak, R. Implementation of an Enhanced Recovery After Surgery (ERAS) clinical pathway using Lean Six Sigma principles: A framework for ongoing quality improvement. SDRP J Anesth Surg 2016; 1: 1.Google Scholar
Cerantola, Y, Valerio, M, Persson, B, et al. Guidelines for perioperative care after radical cystectomy for bladder cancer: Enhanced Recovery After Surgery (ERAS((R))) Society recommendations. Clin Nutr 2013; 32: 879–87.CrossRefGoogle ScholarPubMed
Feldheiser, A, Aziz, O, Baldini, G, et al. Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: Consensus statement for anaesthesia practice. Acta Anaesthesiol Scand 2016; 60: 289334.CrossRefGoogle ScholarPubMed
Thorell, A, MacCormick, AD, Awad, S, et al. Guidelines for perioperative care in bariatric surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations. World J Surg 2016; 40: 2065–83.Google ScholarPubMed
Lassen, K, Coolsen, MM, Slim, K, et al. Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS(R)) Society recommendations. Clin Nutr 2012; 31: 817–30.CrossRefGoogle ScholarPubMed
Mortensen, K, Nilsson, M, Slim, K, et al. Consensus guidelines for enhanced recovery after gastrectomy: Enhanced Recovery After Surgery (ERAS(R)) Society recommendations. Br J Surg 2014; 101: 1209–29.CrossRefGoogle ScholarPubMed
Nelson, G, Altman, AD, Nick, A, et al. Guidelines for postoperative care in gynecologic/oncology surgery: Enhanced Recovery After Surgery (ERAS(R)) Society recommendations—Part II. Gynecol Oncol 2016; 140: 323–32.Google Scholar
Arsalani-Zadeh, R, ElFadl, D, Yassin, N, MacFie, J. Evidence-based review of enhancing postoperative recovery after breast surgery. Br J Surg 2011; 98: 181–96.CrossRefGoogle ScholarPubMed
Catchpole, KR, et al. (2007). Patient handover from surgery to intensive care: Using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr Anaesth, 17 (5), 470–8.CrossRefGoogle ScholarPubMed
Parker, BM, et al. (2007). Six Sigma methodology can be used to improve adherence for antibiotic prophylaxis in patients undergoing noncardiac surgery. Anesth Analg, 104 (1), 140–6.CrossRefGoogle ScholarPubMed
Gillespie, BM, et al. (2014). Effect of using a safety checklist on patient complications after surgery: A systematic review and meta-analysis. Anesthesiology, 120 (6), 1380–9.CrossRefGoogle ScholarPubMed
World Alliance for Patient Safety. (2009). WHO Surgical Safety Checklist. World Health Organization. (accessed November 25, 2016).Google Scholar
de Vries, EN, et al. (2009). Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Qual Saf Health Care, 18(2), 121–6.CrossRefGoogle ScholarPubMed
de Vries, EN, et al. (2010). The SURgical PAtient Safety System (SURPASS) checklist optimizes timing of antibiotic prophylaxis. Patient Saf Surg, 4(1), 6.CrossRefGoogle ScholarPubMed
deVries, EN, et al. (2011). Prevention of surgical malpractice claims by use of a surgical safety checklist. Ann Surg, 253(3), 624–8.Google Scholar
Treadwell, JR, Lucas, S. Preoperative checklists and anesthesia checklists. In: Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. Rockville, MD: Agency for Healthcare Research and Quality, 2013. (accessed November 25, 2016).Google Scholar
de Vries, EN, et al. (2012). Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. BMJ Qual Saf., 21(6), 503–8.CrossRefGoogle ScholarPubMed
ASA Committee on Equipment and Facilities. 2008 Recommendations for Pre-anesthesia Checkout Procedures. Park Ridge, IL: American Society of Anesthesiologists, 2008. (accessed November 25, 2016).Google Scholar
American Society of Anesthesiologists. Standards for basic anesthetic monitoring. October 25, 2005. (accessed November 25, 2016).Google Scholar
Piekarski, F, et al. (2015). Quality of handover in a pediatric postanesthesia care unit. Paediatr Anaesth, 25(7), 746–52.CrossRefGoogle Scholar
Pucher, PH, et al. (2015). Effectiveness of interventions to improve patient handover in surgery: A systematic review. Surgery, 158(1), 8595.CrossRefGoogle Scholar
Greenberg, CC, et al. (2007). Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg, 204(4), 533–40.CrossRefGoogle ScholarPubMed
Milby, A, et al. (2014). Quality of post-operative patient handover in the post-anaesthesia care unit: A prospective analysis. Acta Anaesthesiol Scand, 58(2), 192–7.CrossRefGoogle ScholarPubMed
Segall, N, et al. (2012). Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth Analg, 115(1), 102–15.CrossRefGoogle Scholar
Boat, AC, et al. (2013). Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Paediatr Anaesth, 23(7), 647–54.CrossRefGoogle ScholarPubMed
Salzwedel, C, et al. (2013). The effect of a checklist on the quality of post-anaesthesia patient handover: A randomized controlled trial. Int J Qual Health Care, 25(2), 176–81.CrossRefGoogle ScholarPubMed
Byrnes, MC, et al. (2009). Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices. Crit Care Med, 37(10), 2775–81.CrossRefGoogle ScholarPubMed
Petrovic, MA, et al. (2012). Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. J Cardiothorac Vasc Anesth, 26(1), 11–6.CrossRefGoogle ScholarPubMed
Urbach, DR, et al. (2014). Introduction of surgical safety checklists in Ontario, Canada. N Engl J Med, 370(11), 1029–38.CrossRefGoogle ScholarPubMed
Borchard, A, et al. (2012). A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. Ann Surg, 256(6), 925–33.CrossRefGoogle ScholarPubMed
Manser, T, et al. (2010). Assessing the quality of patient handoffs at care transitions. Qual Saf Health Care, 19(6), e44.Google ScholarPubMed
van Rensen, EL, et al. (2012). Multitasking during patient handover in the recovery room. Anesth Analg, 115(5), 1183–7.CrossRefGoogle ScholarPubMed
Nagpal, K, et al. (2010). Postoperative handover: Problems, pitfalls, and prevention of error. Ann Surg, 252(2), 171–6.CrossRefGoogle ScholarPubMed
de Vries, EN, et al. (2010). Effect of a comprehensive surgical safety system on patient outcomes. N Enl J Med, 363(20), 1928–37.Google ScholarPubMed
Agawala, AV, et al. (2015). An electronic checklist improves transfer and retention of critical information at intraoperative handoff of care. Anesth Analg, 120(1), 96104.CrossRefGoogle Scholar
National Center for Injury Prevention and Control. Interim planning guidance for preparedness and response to a mass casualty event resulting from terrorist use of explosives. Centers for Disease Control and Prevention, 2010.Google Scholar
American Hospital Association. Hospital preparedness for mass casualties. Summary of an invitational forum convened on March 8–9, 2000 by the American Hospital Association with the support of the Office of Emergency Preparedness. U.S. Department of Health and Human Services.Google Scholar
World Health Organization. Mass casualty management systems. Strategies and guidelines for building health sector capacity. World Health Organization, 2007Google Scholar
Phillips, SJ, Knebel, A, eds. Mass Medical Care with Scarce Resources: A Community Planning Guide. Prepared by Health Systems Research, Inc., an Altarum company, under contract No. 290-04-0010. AHRQ Publication No. 07-0001. Rockville, MD: Agency for Healthcare Research and Quality 2007Google Scholar
Hospital emergency response checklist. An all-hazards tool for hospital administrators and emergency managers. World Health Organization, 2011.Google Scholar
SLG 101: Guide for all-hazard emergency operations planning. Federal Emergency Management Agency, September 1996.Google Scholar
Establishing a mass casualty management system. Pan American Health Organization, 1995. (accessed August 17, 2016).Google Scholar
Creating a communication strategy for pandemic influenza. Pan American Health Organization, 2009. (accessed August 17, 2016).Google Scholar
Effective media communication during public health emergencies: A WHO wall chart. World Health Organization, 2005. (accessed August 17, 2016).Google Scholar
Guidelines for vulnerability reduction in the design of new health facilities. Pan American Health Organization, 2004. (accessed August 17, 2016).Google Scholar
World Medical Association. Statement on medical ethics in the event of disasters. (accessed August 17, 2016).Google Scholar
Emergency triage assessment and treatment (ETAT). Manual for participants. World Health Organization, 2005. (accessed August 17, 2016).Google Scholar
Hospital surge model. U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality, 2010. (accessed August 17, 2016).Google Scholar
Wisner, B, Adams, J, eds. Environmental health in emergencies and disasters: A practical guide. World Health Organization, 2003. (accessed August 17, 2016).Google Scholar
Adapting standards of care under extreme conditions. Guidance for professionals during disasters, pandemics, and other extreme emergencies. American Nurse Association, March 2008.Google Scholar
Mental health in emergencies. World Health Organization, 2003. (accessed August 17, 2016).Google Scholar
Humanitarian supply management and logistics in the health sector. Pan American Health Organization, 2001. (accessed August 17, 2016).Google Scholar
Hospital assessment and recovery guide. U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality, 2010. (accessed August 17, 2016).Google Scholar
Guidance for health sector assessment to support the post-disaster recovery process. Version 2.2. World Health Organization, 2010. (accessed August 17, 2016).Google Scholar
Rossler, B, et al. Preparedness of anesthesiologists working in humanitarian disasters. Disaster Med Public Health Prep., 2013; 7(4): 408–12.CrossRefGoogle ScholarPubMed
Dobkin, AB, et al. The anaesthetist in the management of a disaster. Canad M A J., 1957; 76: 763–70.Google ScholarPubMed
Guidance for the selection and use of personal protective equipment (PPE) in healthcare settings. (accessed August 19, 2016).Google Scholar
General description and discussion of the levels of protection and protective gear. Regulations (Standards – 29 CFR) 1910.120 App B. Scholar
OSHA best practices for hospital-based first receivers of victims from mass casualty incidents involving the release of hazardous substances. Scholar Scholar
Graffigna, G., Barello, S., and Riva, G., “How to Make Health Information Technology Effective: The Challenge of Patient Engagement,” Arch. Phys. Med. Rehabil., vol. 94, no. 10, pp. 20342035, Oct. 2013.CrossRefGoogle ScholarPubMed
Gruman, J., Rovner, M. H., French, M. E., et al., “From Patient Education to Patient Engagement: Implications for the Field of Patient Education,” Patient Educ. Couns., vol. 78, no. 3, pp. 350356, Mar. 2010.Google ScholarPubMed
Epstein, R. M., Fiscella, K., Lesser, C. S., and Stange, K. C., “Why the Nation Needs a Policy Push on Patient-Centered Health Care,” Health Aff., vol. 29, no. 8, pp. 14891495, Aug. 2010.CrossRefGoogle Scholar
Frosch, D. L. and Elwyn, G., “I Believe, Therefore I Do,” J. Gen. Intern. Med., vol. 26, no. 1, pp. 24, Jan. 2011.CrossRefGoogle Scholar
Hibbard, J. H., Mahoney, E. R., Stock, R., and Tusler, M., “Do Increases in Patient Activation Result in Improved Self-Management Behaviors?,” Health Serv. Res., vol. 42, no. 4, pp. 14431463, Aug. 2007.CrossRefGoogle ScholarPubMed
Greene, J. and Hibbard, J. H., “Why Does Patient Activation Matter? An Examination of the Relationships between Patient Activation and Health-Related Outcomes,” J. Gen. Intern. Med., vol. 27, no. 5, pp. 520526, May 2012.CrossRefGoogle ScholarPubMed
Barello, S., Graffigna, G., Vegni, E., Savarese, M., Lombardi, F., and Bosio, A. C., “‘Engage Me in Taking Care of My Heart’: A Grounded Theory Study on Patient-Cardiologist Relationship in the Hospital Management of Heart Failure,” BMJ Open, vol. 5, no. 3, p. e005582, Mar. 2015.CrossRefGoogle Scholar
Schwappach, D. L. B., “Review: Engaging Patients as Vigilant Partners in Safety,” Med. Care Res. Rev., vol. 67, no. 2, pp. 119148, Apr. 2010.CrossRefGoogle Scholar
Kessels, R. P. C., “Patients’ Memory for Medical Information,” J. R. Soc. Med., vol. 96, no. 5, pp. 219222, May 2003.Google ScholarPubMed
Elf, M., Fröst, P., Lindahl, G., and Wijk, H., “Shared Decision Making in Designing New Healthcare Environments: Time to Begin Improving Quality,” BMC Health Serv. Res., vol. 15, p. 114, Mar. 2015.CrossRefGoogle ScholarPubMed
Feldscher, K., “40% Prevention Rate for Colorectal Cancers | Harvard Gazette,” Harvard Gazette, 2013. Available: (accessed Aug. 24, 2017).Google Scholar
Joseph, D. A., Meester, R. G. S., Zauber, A. G., et al., “Colorectal Cancer Screening: Estimated Future Colonoscopy Need and Current Volume and Capacity,” Cancer, vol. 122, no. 16, pp. 24792486, Aug. 2016.CrossRefGoogle ScholarPubMed
Gupta, S., Ahn, C., Skinner, C. S., et al., “Measurement of Colorectal Cancer Test Use with Medical Claims Data in a Safety-Net Health System,” Am. J. Med. Sci., vol. 345, no. 2, pp. 99103, Feb. 2013.CrossRefGoogle Scholar
Hayat, U., Lee, P. J. W., Lopez, R., Vargo, J. J., and Rizk, M. K., “Online Educational Video Improves Bowel Preparation and Reduces the Need for Repeat Colonoscopy within Three Years,” Am. J. Med., vol. 129, no. 11, p. 1219.e1–1219.e9, Nov. 2016.CrossRefGoogle ScholarPubMed
Goffman, R. M., Harris, S. L., May, J. H., et al., “Modeling Patient No-Show History and Predicting Future Outpatient Appointment Behavior in the Veterans Health Administration,” Mil. Med., vol. 182, no. 5, pp. e1708–e1714, May 2017.CrossRefGoogle ScholarPubMed
Chang, J. T., Sewell, J. L., and Day, L. W., “Prevalence and Predictors of Patient No-Shows to Outpatient Endoscopic Procedures Scheduled with Anesthesia,” BMC Gastroenterol., vol. 15, no. 1, p. 123, Dec. 2015.CrossRefGoogle ScholarPubMed
Berg, B. P., Murr, M., Chermak, D., et al., “Estimating the Cost of No-Shows and Evaluating the Effects of Mitigation Strategies,” Med. Decis. Mak., vol. 33, no. 8, pp. 976985, Nov. 2013.CrossRefGoogle ScholarPubMed
Koh, H. K. and Rudd, R. E., “The Arc of Health Literacy,” JAMA, vol. 314, no. 12, p. 1225, Sep. 2015.CrossRefGoogle ScholarPubMed
Schwappach, D. L. B., “Review: Engaging Patients as Vigilant Partners in Safety,” Med. Care Res. Rev., vol. 67, no. 2, pp. 119148, Apr. 2010.CrossRefGoogle Scholar
Graffigna, G., Barello, S., Bonanomi, A., and Lozza, E., “Measuring Patient Engagement: Development and Psychometric Properties of the Patient Health Engagement (PHE) Scale,” Front. Psychol., vol. 6, p. 274, Mar. 2015.CrossRefGoogle ScholarPubMed
Vest, J. R. and Miller, T. R., “The Association between Health Information Exchange and Measures of Patient Satisfaction,” Appl. Clin. Inform., vol. 2, no. 4, pp. 447459, 2011.Google ScholarPubMed
Aujoulat, I., d’Hoore, W., and Deccache, A., “Patient Empowerment in Theory and Practice: Polysemy or Cacophony?,” Patient Educ. Couns., vol. 66, no. 1, pp. 1320, Apr. 2007.CrossRefGoogle ScholarPubMed
Guadagnoli, E. and Ward, P., “Patient Participation in Decision-Making,” Soc. Sci. Med., vol. 47, no. 3, pp. 329339, Aug. 1998.CrossRefGoogle ScholarPubMed
Hibbard, J. H., Stockard, J., Mahoney, E. R., and Tusler, M., “Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers,” Health Serv. Res., vol. 39, no. 4 Pt 1, pp. 10051026, Aug. 2004.CrossRefGoogle ScholarPubMed
Gruman, J., Rovner, M. H., French, M. E., et al., “From Patient Education to Patient Engagement: Implications for the Field of Patient Education,” Patient Educ. Couns., vol. 78, no. 3, pp. 350356, Mar. 2010.CrossRefGoogle ScholarPubMed
Carman, K. L., Dardess, P., Maurer, M., et al., “Patient and Family Engagement: A Framework for Understanding the Elements and Developing Interventions and Policies,” Health Aff., vol. 32, no. 2, pp. 223231, Feb. 2013.CrossRefGoogle ScholarPubMed
Eysenbach, G., “What Is E-health?,” J. Med. Internet Res., vol. 3, no. 2, p. E20, 2001.CrossRefGoogle ScholarPubMed
Barello, S., Triberti, S., Graffigna, G., et al., “eHealth for Patient Engagement: A Systematic Review,” Front. Psychol., vol. 6, p. 2013, 2015.Google ScholarPubMed
Volpp, K. G. M. and Mohta, N. S. M., “Patient Engagement Survey: Technology Tools Gain Support But Cost Is a Hurdle,” July 10, 2017. Available: (accessed Aug. 28, 2017).Google Scholar
Park, J., Kim, T.-O., Lee, N.-Y., et al. “The Effectiveness of Short Message Service to Assure the Preparation-to-Colonoscopy Interval before Bowel Preparation for Colonoscopy,” Gastroenterol. Res. Pract. doi:10.1155/2015/628049Google Scholar
Accenture. “Why Healthcare Providers Need to Up Their Mobile Game,” 2015. Available: (accessed August 28, 2017).Google Scholar
Hayet, U., Lee, P. J., Lopez, R., Vargo, J. J., and Rizk, M. K.. “Online Educational Video Improves Bowel Preparation and Reduces the Need for Repeat Colonoscopy within Three Years,”Am, J. Med., vol. 129, no. 11, pp. 1219.e1–1219.e9, 2016.Google Scholar
Ajumobi, A. B., Malakouti, M., Bullen, A., Ahaneku, H., and Lunsford, T. N., “YouTubeTM as a Source of Instructional Videos on Bowel Preparation: A Content Analysis.” J. Cancer Educ. doi:10.1007/s13187-015-0888-yGoogle Scholar
Department of Education. “National Education Technology Plan – Office of Educational Technology,” December 2015. Available: (accessed Aug. 28, 2017).Google Scholar
Nayor, J., Feng, A., Qazi, T., and Saltzman, J. R., “Improved Patient Preparedness for Colonoscopy Using Automated Time-Released Reminders,” abstract submitted to ACG Annual Meeting, Orlando, FL, October 17, 2017.Google Scholar